NPIMap

Organization Active NPI

Dayton Corectional Institution

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Dayton, OH
National Provider Identifier
1538560693
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
DAYTON CORECTIONAL INSTITUTION
Doing business as
ohio dept of rehabilitation and correction
Practice address
4104 Germantown Pike
Dayton, OH 45417-6118
Phone
(937) 263-0060
Fax
(937) 263-1322
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Earl Offutt, M.A.LICDC-CS
Title
Social Work Supervisor
Phone
(937) 263-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

4104 Germantown Pike
Dayton, OH 45417-6118

Mailing address

4104 Germantown Pike
Dayton, OH 45417-6118
Phone (937) 263-0060

Other names 1

  • ohio dept of rehabilitation and correction Doing business as

National Provider Directory

National Provider Directory

Locations

4104 Germantown Pike
Dayton, OH 45417
Phone (937) 236-0060

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1538560693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 GERMANTOWN PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454176118",
            "telephone_number": "937-263-0060",
            "fax_number": "937-263-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 GERMANTOWN PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454176118",
            "telephone_number": "937-263-0060",
            "fax_number": "937-263-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CORECTIONAL INSTITUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "OFFUTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "SOCIAL WORK SUPERVISOR",
        "authorized_official_telephone_number": "937-263-0060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A.LICDC-CS"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ohio dept of rehabilitation and correction",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.